| NPI | 1760433759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL WILLIAM GHOBRIAL President 631-271-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 234668) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-08-22 |